HomeMy WebLinkAboutContract 55864CSC No. 55864
Fo�T WoRTH
CITY OF FORT WORTH
COOPERATIVE PURCHASE AGREEMENT
This Cooperative Purchase Agreement ("Agreement") is entered into by and between Precision
Micrographics & Imaging, Inc. ("Vendor") and the City of Fort Worth, ("City"), a Texas home rule
municipality.
The Cooperative Purchase Agreement includes the following documents which shall be construed in the
order of precedence in which they are listed:
1. This Cooperative Purchase Agreement;
2. Exhibit A— Seller's Quote, Scope of Services or Purchase Order;
3. Exhibit B— Cooperative Agency Contract (e.g., NJPA, DIR, BuyBoard); and
4. Exhibit C— Conflict of Interest Questionnaire.
Exhibits A, B, and C which are attached hereto and incorporated herein, are made a part of this
Agreement for all purposes. Vendor agrees to provide City with the services and goods included in
Exhibit A pursuant to the terms and conditions of this Cooperative Purchase Agreement, including all
exhibits thereto.
City shall pay Vendor in accordance with the fee schedule in Exhibit A and in accordance with
the provisions of this Agreement. Total payment made under this Agreement for the first year by City
shall be in the amount of Nine Thousand Eight Hundred Eight Nine Dollars ($9,889.00). Vendor shall
not provide any additional items or services or bill for eXpenses incurred for City not specified by this
Agreement unless City requests and approves in writing the additional costs for such services. City shall
not be liable for any additional eXpenses of Vendor not specified by this Agreement unless City first
approves such expenses in writing.
The term of this Agreement shall be for one year beginning on June 15, 2021 and ending on June
14, 2022. City shall be able to renew this agreement for four one-year renewal options by written
agreement of the parties.
Vendor agrees that City shall, until the expiration of three (3) years after final payment under this
Agreement, or the final conclusion of any audit commenced during the said three years, have access to
and the right to examine at reasonable times any directly pertinent books, documents, papers and records,
including, but not limited to, all electronic records, of Vendor involving transactions relating to this
Agreement at no additional cost to City. Vendor agrees that City shall have access during normal
working hours to all necessary Vendor facilities and shall be provided adequate and appropriate work
space in order to conduct audits in compliance with the provisions of this section. City shall give Vendor
reasonable advance notice of intended audits.
Notices required pursuant to the provisions of this Agreement shall be conclusively determined
to have been delivered when (1) hand-delivered to the other party, its agents, employees, servants or
representatives, (2) delivered by facsimile with electronic confirmation of the transmission, or (3)
received by the other party by United States Mail, registered, return receipt requested, addressed as
follows: OFFICIAL RECORD
CITY SECRETARY
CFW Cooperative Purchase Agreement FT. WORTH, TX
�
To CITY:
To VENDOR:
City of Fort Worth Precision Micrographics & Imaging, Inc.
Attn: Dana Burghdoff, Assistant City Manager 3erry Collins
200 Texas Street 8204 North Lamar Blvd, Suite C-20
Fort Worth, TX 76102-6314 Austin, TX 78753
Facsimile: (817) 392-8654 Facsimile: NA
With copy to Fort Worth City Attorney's Office
at same address
The undersigned represents and warrants that he or she has the power and authority to execute this
Agreement and bind the respective Vendor.
CITY OF FORT WORTH:
i
CONTRACT COMPLIANCE MANAGER:
By signing I acknowledge that I am the person
responsible for the monitoring and administration
of this contract, including ensuring all performance
and reporting requirements.
Dqnq BU�aG�doff
Dana Burghdoff un 16, 2021 09:05 CDT)
Name: Dana Burghdoff
Title: Assistant City Manager
Date: 06/16/2021
APPROVAL RECOMMENDED:
y< -�
; i ic�� ���;��-
By: �
Name: Marilyn Marvin
Title: Assistant Library Director
ATTEST:
By:
� �����e��
Name: Mary Kayser
Title: City Secretary
VENDOR:
OFFICIAL REC�RD
CITY SECRETARY
FT. WORTH, TX
:
�s�� �
Name: Timothy Shidal
Title: Administrative Services Manager
APPROVED AS TO FORM AND LEGALITY:
����'��
By: �i
Name: Jessika J. Williams
Title: Assistant City Attorney
CONTRACT AUTHORIZATION:
M&C: N/A
�� M�crogr�.phics
��maging, Inc.
Contractor
Precision Micrographics & Imaging, Inc.
8204 N. Lamar Blvd., Suite C-20
Austin, Teaas 78753
512-893-8930
Fort Worth Public Library
500 West Third Street
Fort Worth, Texas 76102
Quote
Please Refer To BuyBoard ouote # 2,-072
Contract # 579-19 Date 4/26/2021
Gluoted by: Barry Gerstenberg, Preclsion M& I
email: barryC�precisionmicrographics.net
E ui ment pescri tion Q# , Unit:Prlce Extended
ST ViewScan 4 S stem:
ST ViewScan Universal Base w/ 9 MegaPixel 1 $ 5,195.00 $ 5,195.00
USB 3.0 Camera 7X-105X Reduction Ratio
9MP to 18MP Camera U grade 1 $ 3,000.00 $ 3,000.00
PerfectView Premium + Librar Bundle 1 $ 1,295.00 $ 1,295.00
Deliverv. Installation, Traininq 1 $ 399.00 $ 399.00
Total
lncludes 3 Year Manufacfurer's Warranty
User mus[ provide PC to meet Manufacturer's s�
Terms: Net 30
Special Instrucfions: Service prices quoted are
unless otherwise stated. Prices are subject to ch�
Fort Worth Public Library
Date
;able on items sold
Taxes and Shippir
BY
www.precisionmicrographics.net
CFW Cooperative Purchase Agreement
889.00
Precis
Page 3 of 47
� Board �
Caaperative Purchasiny
P.O. 8ax 400
Austin, TX 787G7-D40U
800.695.2913 f 572.467.0222 J Fax: 80U.217.5d54
6ayboard.com
October 24, 2018
Welcome to BuyBoard!
Re: Notice of The Loca/ Government Purchasing Cooperative Award
Proposal Name and Number: Technology Equipment, Products, Services and Software,
Proposal No. 579-19
Congratulations, The Local Government Purchasing Cooperative (Cooperative) has awarded your company a
BuyBoardO contract based on the above-referenced Proposal. The contract is effective 1/1/2019 through
12/31/2019, with two possible one-year renewals. The contract documents are those identified in Section 3 of
the General Terms and Conditions of the specifications.
To view the items your company has been awarded, please review the proposal tabulation No. 579-19 on the
following web-site: www.buyboard.com/vendor. Only items marked as awarded to your company can be sold
through the BuyBoard contract. In addition, on this website you will find the membership list which will provide
you with the names of all entities with membership in our purchasing cooperative.
Enclosed with this letter you will find the following documents:
1. Vendor Quick Reference Guide 2. BuyBoard License and Identity Standards
You are advised that receipt of a purchase order directly from a Cooperative member is not within
the guidelines of the Cooperative. Accepting purchase orders directly from Cooperative members may
result in a violation of the State of Texas competitive bid statute and termination of this Cooperative BuyBoard
contract. Therefore, all purchase orders must be processed through the BuyBoard in order to
comply. Please forward by email to info@buyboard.com any order received directly from a Cooperative
member. If you inadvertently process a purchase order sent directly to you by a Cooperative member, please
fax the order to the above number and note it as RECORD ONLY to prevent duplication.
As an awarded vendor a BuyBoard user id and password will be sent via e-mail 2 to 3 business
days prior to the start of your contract.
On behalf of the Texas Association of School Boards, we appreciate your interest in the Cooperative and we
are looking forward to your participation in the program. If you have any questions, please contact
Cooperative Procurement Staff at 800-695-2919.
Sincerely,
_ �/�r��,_= -_ ��-
Arturo Salinas
Department Director, Cooperative Procurement
v.6.5
��►— The L ocal Govemment Purchasrng Cooperative is arrdarsed 6y fhe Iexas Assaciation of Schoa! Boards,
TMI.
�a�. ��= T�a Texas Municipa! League, Iexas Assocr'ation ot Counfies, and the Texas Associatron af Schoa! Adminisfrators
Cooperafi"ve Purchase Agreement Page 4 of 47
� Board�
Conperative Purchasing
12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 ' buyboard.com
PROPOSER'S AGREEMENT AND SIGNATURE
Proposal Name: Technology Equipment, Products, Proposal Due Date/Openinq Date and Time:
Services and Software May 17, 2018 at 4:00 PM
Proposal Number: 579-19
Location of Proposal Openin4:
Texas Association of School Boards, Inc.
BuyBoard Department
12007 Research Blvd.
Austin, TX 78759
Anticipated Cooperative Board Meetin4 Date:
Contract Time Period: January 1, 2019 through October 2018
December 31, 2020 with two (2) possible one-year
renewals.
Precision Micrographics & Imaging, �nc. Ma�/ 7, 20� 8
Name of Proposing Company
8204 North Lamar Blvd Ste. C-20
Street Address
Date � „
�,, ��1 .. --__'j_ _ ��
,: ./
� l,/..�� / � .
��/1%�'z� � �`f �� ���
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Signature of Author����I �crmr�a,��d.Of�i�ik��
Austin, Texas 78753
City, State, Zip
512-893-8930
Telephone Number of Authorized Company Official
512-832-5301
Fax Number of Authorized Company OfFicial
R. W. Gerstenberg
Printed Name of Authorized Company Official
VP
Position or Title of Authorized Company Official
742936274
Federal ID Number
Page 8 of 65
CFW Cooperative Purchase Agreement Proposal Forms COMM/��.�19#Z43o18
� Board�
Cnoperative Purchasing
12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 ' buvboard.com
The proposing company ("you" or "your") hereby acknowledges and agrees as follows:
1. You have carefully examined and understand all Cooperative information and documentation associated with this
Proposal Invitation, including the Instructions to Proposers, General Terms and Conditions, attachments/forms, item
specifications, and line items (collectively "Requirements");
2. By your response ("Proposal") to this Proposal Invitation, you propose to supply the products or services submitted at
the prices quoted in your Proposal and in strict compliance with the Requirements, unless specific deviations or
exceptions are noted in the Proposal;
3. Any and all deviations and exceptions to the Requirements have been noted in your Proposal and no others will be
claimed;
4. If the Cooperative accepts any part of your Proposal and awards you a contract, you will furnish all awarded products
or services at the prices quoted and in strict compliance with the Requirements (unless specific exceptions are noted in
the Proposal and accepted by the Cooperative), including without limitation the Requirements related to:
a. conducting business with Cooperative members, including ofFering pricing to members that is the best you offer
compared to similar customers;
b. payment of a service fee in the amount specified and as provided for in this Proposal Invitation;
c. the possible award of a piggy-back contract by another governmental entity or nonprofit entity, in which event
you will offer the awarded goods and services in accordance with the Requirements; and
d. submitting price sheets or catalogs in the proper format as required by the Cooperative as a prerequisite to
activation of your contract;
5. You have clearly identified on the included form any information in your Proposal that you believe to be confidential or
proprietary or that you do not consider to be public information subject to public disclosure under a Texas Public
Information Act request or similar public information law;
6. The individual signing this Agreement is duly authorized to enter into the contractual relationship represented by this
Proposal Invitation on your behalf and bind you to the Requirements, and such individual (and any individual signing a
form) is authorized and has the requisite knowledge to provide the information and make the representations and
certifications required in the Requirements;
7. You have carefully reviewed your Proposal, and certify that all information provided is true, complete and accurate,
and you authorize the Cooperative to take such action as it deems appropriate to verify such information; and
8. Any misstatement, falsification, or omission in your Proposal, whenever or however discovered, may disqualify you
from consideration for a contract award under this Proposal Invitation or result in termination of an award or any other
remedy or action provided for in the General Terms and Conditions or by law.
Page 9 of 65
Proposal Forms COMM/SVCS v.D1.12 2O18
CFW Cooperative Purchase Agreement Page 6 ot 47
� Board �
Cooperative Puichas/ng
12007 Research Boulevard ' Austin, Texas 78759-2439 � PH: 800-695-2919 ' buyboard.com
VENDOR CONTACT INFORMATION
compa�Y: Precision Micrographics & Imaging, Inc.
Vendor Contact Name and Mailing Address for Notices: Barry Gerstenberg, 8204 North Lamar Blvd., suite o-20, Austin, Texas 78753
Company Website: WWW•Precisionmicrographics.net
Purchase Orders: Purchase orders from Cooperative members will be available through the Internet or by faaimile.
0 tion 1: Internet. Vendors need Internet access and at least one e-mail address so that notification of new
orders can be sent to the Internet contact when a new purchase order arrives. An information guide will be
provided to vendors that choose this option to assist them with retrieving their orders.
O�tion 2: Fax. Vendors need a designated fax line available at all times to receive purchase orders.
Please choose onlv one (i) of the following options for receipt of purchase orders and provide the requested
information:
� I will use the INTERNET to receive purchase orders.
E-ma;, Addre�: barry@precisionmicrographics.net
I�te��et co���: Barry Gerstenberg Pno�e: 512-893-8930
Alternate E-mail Address: PremlCrO C�aOI.00111
Altemate Internet Contact: BOb GG�rSt@Clbel"9 phone: 512-893-8930
❑ I will receive purchase orders via �.
Fax Number:
Fax Contact:
Phone:
❑ Purchase orders may be received by any Designated Dealer identified on my company's Deater Designation
form as provided to the Cooperative administrator. I understand that my company shall remain responsible for the
Contract and the performance of all Designated Dealers under and in accordance with the Contract.
R�quest for Quotes ("RFO"]: Cooperative members will send RFQs to you by e-mail. Please provide e-mail addresses
for the receipt of RFQs:
E-mail Address: �nfo@precisionmicrographics.net
Alternate E-mail Address: F�remlCrO@aOI.COCI'1
Page 10 of 65
CFW Cooperative Purchase Agreement Proposal rrorms COMM/�+age'� 0�24�18
� Board �
Cooperat/ve PurchssJng
12007 Research Boulevard ' Austin, Texas 78759-2439 � PH: 800-695-2919 • buyboard.com
v ic : Your company will be billed monthly for the service fee due under a contract awarded under this Proposal
Invitation. All invoices are available on the BuyBoard website and e-mail notifications will be sent when they
are ready to be retrieved. Please provide the following address, contact and e-mail information for receipt of service fee
invoices and related communications:
Please choose only one (1) of the following options for receipt of invoices and provide the requested
information:
�❑ Service fee invoices and related communications shou�d be provided directly to my company at:
Mailing address: 8204 North Lamar Blvd., Suite C-20 Department:
�;�,: Austin s�te: Texas Zip Code: 78753
Contact Name: Peggy Gerstenberg Phone: (512)893-8930
Fax: 512-832-5301 E-mail Address: premicro@aoI.001'Yl
Alternative E-mail Address: peggy@precisionmicrographics.net
❑ In lieu of my company, I request and authorize all service fee invoices to be provided directly to the following billing
agent**:
Mailing address:
City:
Contact Name•
Fax:
E-mail Address:
Alternative E-mail Address:
State:
Department:
Zip Code:
Phone:
❑ In lieu of my company, I request and authorize service fee invoices to be provided to the Designated Dealer(s)
receiving the purchase order(s) to which the invoiced service fees relate at the address and contact information designated
on my company's Dealer Designation form as provided to the Cooperative administrator.**
** If Vendor authorizes a billing agent or Designated Dea/e�(s) to receive and p�ocess servlce fee in voices,
in accordance with the Gene�a/ Terms and Conditlons of the Cont�act, Vendor specifica/ly acknowledges and
ag�ees that nothing in that designation sha// re/feve Vendo� of its �esponsJbi/Itles and ob/Igatlons unde� the
Cont�act inc/uding, but not /lmited to, payment of a// servlce fees unde� any Cont�act awarded Vendo�
Page il of 65
Proposal Forms COMM/S1/CS v.01.12.2018
CFW Cooperative Purchase Agreement Page 8 of 47
� Board� .
Cooperative Purchasing
12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 ' buvboard.com
FELONY CONVIGTION DISCLOSURE AND DEBARMENT CERTIFICATION
FELONY CONVICTION DISCLOSURE
Subsection (a) of Section 44.034 of the Texas Education Code (Notification of Criminal History of Contractor)
states: "A person or business entity that enters into a contract with a school district must give advance notice to the district
if the person or an owner or operator has been convicted of a felony. The notice must include a general description of the
conduct resulting in the conviction of a felony."
Section 44.034 further states in Subsection (b): "A school district may terminate a contract with a person or
business entity if the district determines that the person or business entity failed to give notice as required by Subsection
(a) or misrepresented the conduct resulting in the conviction. The district must compensate the person or business entity
for services performed before the termination of the contract."
Please check (,�) one of the followin�c :
❑ My Company iS d publiCly-held Col'pot'dtion. (Advance notice requirement dces not apply to publicly-held corporation.)
❑■ My company is not owned or operated by anyone who has been convicted of a felony.
❑ My company is owned/operated by the following individual(s) who has/have been convicted of a felony:
Name of Felon(s):
Details of Conviction(s):
By signature below, I certify that the above information is true, complete and accurate and that I am authorized by my
company to make this certification.
Precision Micrographics & Im�c��., 'fiX�c.:,
i / �a
Company Name
�" �/ �, , '� R. W. Gerstenberg
Signature of Authorized Company Offic' I Printed Name
DEBARMENT CERTIFICATION
Neither my company nor an owner or principal of my company has been debarred, suspended or otherwise made ineligible
for participation in Federal Assistance programs under Executive Order 12549, "Debarment and Suspension," as described
in the Federal Register and Rules and Regulations. Neither my company nor an owner or principal of my company is
currently listed on the government-wide exclusions in SAM, debarred, suspended, or otherwise excluded by agencies or
declared ineligible under any statutory or regulatory authority. My company agrees to immediately notify the Cooperative
and all Cooperative members with pending purchases or seeking to purchase from my company if my company or an
owner or principal is later listed on the government-wide exclusions in SAM, or is debarred, suspended, or othenvise
excluded by agencies or declared ineligible under any statutory or regulatory authority.
By signature below, I certify that the above is true, complete and accurate and that I am authorized by my company to
make this certification.
Precision Micrographics & Imaging, Inc.
Company Name
� {� `��,,��,1,���%r�.-�j.�.r R.W. Gerstenberg
Signature of Authorized Compa y Official Printed Name
Page 12 of 65
Proposal Forms COMM/SVCS v.Q1.12 2018
CFW Cooperative Purchase Agreement Page 9 of d7
� Board�
Cnnperatfve Purchasing
12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 • buvboard.com
RESIDENT/ NONRESIDENT CERTIFICATION
Chapter 2252, Subchapter A, of the Texas Government Code establishes certain requirements applicable to proposers who
are not Texas residents. Under the statute, a"residenY' proposer is a person whose principal place of business is in Texas,
including a contractor whose ultimate parent company or majority owner has its principal place of business in Texas. A
"nonresident" proposer is a person who is not a Texas resident. Please indicate the status of your company as a"resident"
proposer or a"nonresidenY' proposer under these definitions.
Please check (J) one of the followinc�
0 I certify that my company is a Resident Proposer.
❑ I certify that my company is a Nonresident Proposer.
If your company is a Nonresident Proposer, you must provide the following information for your resident state (the state in
which your company's principal place of business is located):
Company Name
City
Address
State Zip Code
A. Does your resident state require a proposer whose principal place of business is in Texas to under-price proposers
whose resident state is the same as yours by a prescribed amount or percentage to receive a comparable contract?
❑ Yes ❑ No
B. What is the prescribed amount or percentage? $ or %
VENDOR EMPLOYMENT CERTIFICATION
Section 44.031(b) of the Texas Education Code establishes certain criteria that a school district must consider when
determining to whom to award a contract. Among the criteria for certain contracts is whether the vendor or the vendor's
ultimate parent or majority owner (i) has its principal place of business in Texas; or (ii) employs at least 500 people in
Texas.
If neither your company nor the ultimate parent company or majority owner has its principal place of business in Texas,
does your company, ultimate parent company, or majority owner employ at least 500 people in Texas?
Please check (J) one of the followinp:
❑ Yes � No
By signature below, I certify that the information in Sections 1(Resident/Nonresident Certification) and 2(�endor
Emp/oyment CertificationJ above is true, complete and accurate and that I am authorized by my company to make this
certification.
Precision Micrographics & Imaging, Inc.
Company Name
''� `%�. 4 �;�' �� R. W. Gerstenberg
e, r'l G "t ` � �`
Signature of Authorized Compan Official Printed Name
Page 13 of 65
Proposal Forms COMM/SVCS v. 1.12 2018
CFW Cooperative Purchase Agreement Page 18 of d7
� Board �
Cooperative Pu�chasing
12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 • buyboard.com
NO ISRAEL BOYCOTT CERTIFICATION
Effective September 1, 2017, a Texas governmental entity may not enter into a contract with a company for goods or
services unless the contract contains a written verification from the company that it: (1) does not boycott Israel; and (2)
will not boycott Israel during the term of the contract. (TEx. Gov`r Co�E Ch. 2270)
"Boycott Israel" means refusing to deal with, terminating business activities with, or otherwise taking any action that is
intended to penalize, inflict economic harm on, or limit commercial relations specifically with Israel, or with a person or
entity doing business in Israel or in an Israeli-controlled territory, but does not include an action made for ordinary business
purposes. TEx. Gov`r Co�E §808.001(1).
By signature below, I certify and verify that Vendor does not boycott Israel and will not boycott Israel during the term of
any contract awarded under this Proposal Invitation, that this certification is true, complete and accurate, and that I am
authorized by my company to make this certification.
Precision Micrographics & Imaging, Inc.
Company Name
''' �����; j��.;f �� r,f R. W. Gerstenberg
� ,.��. .� �
Signature of Authorized Company fficial Printed Name
NO EXCLUDED NATION OR FOREIGN TERRORIST ORGANIZATION CERTIFICATION
Effective September 1, 2017, Chapter 2252 of the Texas Government Code provides that a Texas governmental entity may
not enter into a contract with a company engaged in active business operations with Sudan, Iran, or a foreign terrorist
organization — specifically, any company identified on a list prepared and maintained by the Texas Comptroller under Texas
Government Code §§806.051, 807.051, or 2252.153. (A company that the U.S. Government affirmatively declares to be
excluded from its federal sanctions regime relating to Sudan, Iran, or any federal sanctions regime relating to a foreign
terrorist organization is not subject to the contract prohibition.)
By signature below, I certify and verify that Vendor is not on the Texas Comptroller's list identified above; that this
certification is true, complete and accurate; and that I am authorized by my company to make this certification.
Precision Micrographics & Imaging, Inc.
Company Name
�' f� � R. W. Gerstenberg
, � �.
'� /../ � 6j�i' %'l i'f �'/
�.E �� ,
Signature of Authorized Comp�ny Official Printed Name
Page 14 of 65
Proposal Forms COMM/SVCS v.p1.12 2018
CFW Cooperative Purchase Agreement Page 11 of 47
� Board�
Cooperative Purchasing
12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 • buvboard.com
HISTORICALLY UNDERUTILIZED BUSINESS CERTIFICATION
A proposer that has been certified as a Historically Underutilized Business (also known as a Minority/Women Business
Enterprise or "MWBE" and all referred to in this form as a"HUB") is encouraged to indicate its HUB certification status
when responding to this Proposal Invitation. The electronic catalogs will indicate HUB certifications for vendors that
properly indicate and document their HUB certification on this form.
Please check (� all that apply:
� I certify that my company has been certified as a HUB in the following categories:
❑ Minority Owned Business
� Women Owned Business
❑ Service-Disabled Veteran Owned Business (veteran defned by 38 U.S.C. §101(2), who has a
service-connected disability as defined by 38 U.S.C. § 101(16), and who has a disability rating
of 20% or more as determined by the U. S. Department of Veterans Affairs or Department of
Defense)
Certification Number:
1742936274600
Name of Certifying Agency:
The Texas Comptroller of Public Accounts
❑ My company has NOT been certified as a HUB.
By signature below, I certify that the above is true, complete and accurate and that I am authorized by my
company to make this certification.
Precision Micrographics & Imaging, Inc.
Company Name
R. W. Gerstenberg
Printed Name
;, > a
� �l � �/�'% ,; ✓�:�-;< �f° � ��
Signature of Authorized Company
Page 15 of 65
Proposal Forms COMM/SVCS v.01.12.2018
CFW Cooperative Purchase Agreement Page 12 of 47
:%5�, ::�
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•,'%/�
GLENN HEGAR TEXAS COMPTROLLER OF PUBLIC ACCOUNTS
The Texas Comptroller of Public Accounts (CPA) administers the Statewide Historically Underutilized Business (HUB)
Program for the State of Texas, which includes certifying minority, woman, and service disabled veteran-owned businesses
as HUBs and facilitates the use of HUBs in state procurement and provides them with information on the state's procurement
process.
We are pleased to inform you that your application for certification/re-certification as a HUB has been approved. Your
company's profile is listed in the State of Texas HUB Directory and may be viewed online at
https://mycpa.cpa.state.tx.us/tpasscmblsearch/index.jsp. Provided that your company continues to meet HUB eligibility
requirements, the attached HUB certificate is valid for the time period specified.
You must notify the HUB Program in writing of any changes affecting your company's compliance with the HUB eligibility
requirements, inciuding changes in ownership, day-to-day management, control and/or principal place of business. Note: Any
changes made to your company's information may require the HUB Program to re-evaluafe your company's eligibility.
Please visit our website at http:!/comptrolier.texas.gov/procuremenUprog/hub/ and reference our publications (i.e. Grow Your
Business pamphlet, HUB Brochure and Vendor Guide) providing addition information on state procurement resources that
can increase your company's chances of doing business with the state.
Thank you for your participation in the HUB Program! If you have any questions, you may contact a HUB Program
representative at 512-463-5872 or toll-free in Texas at 1-888-863-5881.
Texas Historically Underutilized Business (HUB) Certificate
CertificateNlD Number: 1742936274600
File/Vendor Number: 081582
Approval Date: 19-SEP-2017
Scheduled Expiration Date: 19-SEP-2021
Statn�lde IlkLnrkally Un4vutlllxed Buslnes Progrsm
The Texas Comptroller of Public Accounts (CPA), hereby certifies that
PRECISION MICROGRAPHICS & IMAGING INC.
has successfully met the established requirements of the State of Texas Historically Underutilized Business (HUB)
Program to be recognized as a HUB. This certificate printed 22-SEP-2017, supersedes any registration and certificate
previously issued by the HUB Program. If there are any changes regarding the information (i.e., business structure,
ownership, day-to-day management, operational control, business location) provided in the submission of the business'
application for registration/certification as a HUB, you must immediately (within 30 days of such changes) notify the HUB
Program in writing. The CPA reserves the right to conduct a compliance review at any time to confirm HUB eligibility. HUB
certification may be suspended or revoked upon findings of ineligibility.
/ //
_��1, fMo S.�
U�
Laura Cagle-Hinojosa, Statewide HUB Program Manager
Statewide Support Services Division
Note: In order for State agencies and institutions of higher education (universities) to be credited for utilizing this business as a HUB, they must award
payment under the CertificateNlD Number identified above. Agencies, universities and prime contractors are encouraged to verify the company's HUB
certification prior to issuing a notice of award by accessing the Internet (https://mycpa.cpa.state.tx.us/tpasscmblsearchlindex.jsp) or by contacting
the HUB Program at 512-463-5872 or toll-free in Texas at 1-888-863-5881. Fe�.ob/16
CFW Cooperative Purchase Agreement Page 13 of 47
� Board�
Cooperative Purchasing
12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 • buvboard.com
CONSTRUCTION-RELATED GOODS AND SERVICES AFFIRMATION
A contract awarded under this Proposal Invitation covers only the specific goods and services awarded by the BuyBoard. As
explained in the BuyBoard Procurement and Construction Related Goods and Services Advisory for Texas Members
("Advisory'�, Texas law prohibits the procurement of architecture or engineering services through a
purchasing cooperative. This BuyBoard contract does not include such services. Architecture or engineering
services must be procured by a Cooperative member separately, in accordance with the Professional
Services Procurement Act (Chapter 2254 of the Texas Government Code) and other applicable law and local
policy.
The Advisory, available at buyboard.com/Vendor/Resources.aspx, provides an overview of certain legal requirements that
are potentially relevant to a Cooperative member's procurement of construction or construction-related goods and services,
including those for projects that may involve or require architecture, engineering or independent testing services. A copy
of the Advisory can also be provided upon request.
By signature below, the undersigned affirms that Proposer has obtained a copy of the Advisory, has read and understands
the Advisory, and is authorized by Proposer to make this affirmation. If Proposer sells construction-related goods or
services to a Cooperative member under a BuyBoard contract awarded under this Proposal Invitation, Proposer will comply
with the Advisory and applicable legal requirements, make a good faith effort to make its Cooperative member customers
or potential Cooperative member customers aware of such requirements, and provide a Cooperative member with a copy
of the Advisory before executing a Member Construction Contract with the member or accepting the member's purchase
order for construction-related goods or services, whichever comes first.
Precision Micrographics & Imaging, Inc.
Company Name
�='� j�, , l�. '' R. W. Gerstenberg
j 1-
i f,,j(. �(''l•i'%
Signature of Authorized Compan Official Printed Name
May 7, 2018
Date
Page 16 of 65
Proposal Forms COMM SVCS v.q1.12.2018
CFW Cooperative Purchase Agreement age 14 of 47
� Board�
Cooperative Purchasing
12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 • buvboard.com
DEVIATION AND COMPLIANCE
If your company intends to deviate from the General Terms and Conditions, Proposal Specifications or other requirements
associated with this Proposal Invitation, you MUST list all such deviations on this form, and provide complete and detailed
information regarding the deviations on this form or an attachment to this form. The Cooperative wiil consider any
deviations in its contract award decision, and reserves the right to accept or reject a proposal based upon any submitted
deviation.
In the absence of any deviation identified and described in accordance with the above, your company must fully comply
with the General Terms and Conditions, Proposal Specifications and all other requirements associated with this Proposal
Invitation if awarded a contract under this Proposal Invitation. A deviation will not be effective unless accepted by the
Cooperative. The Cooperative may, in its sole discretion, seek clarification from and/or communicate with Proposer(s)
regarding any submitted deviation, consistent with general procurement principles of fair competition. The Cooperative
reserves the right to accept or reject a proposal based upon any submitted deviation.
Please check (,�/, one of the followina:
■� NO; Deviations
❑ Y@S; Deviations
List and fully explain any deviations you are submitting:
PLEASE PROVIDE THE FOLLOWING INFORMATION:
1. Shipping Via: ❑■ Common Carrier � Company Truck � Prepaid and Add to Invoice ❑ Other:
2. Payment Terms: ❑■ Net 30 days ❑ 1% in 10/Net 30 days ❑ Other:
Number of Days for Delivery: 30 ARO
4. Vendor Reference/Quote Number:
S. State your retum policy: .��0l� i�5 �tP%'� d l7t°�6 �o�' c7 iz`fi'17 or� Our prL�filC S.
�'r
6. Are electronic payments acceptable? ❑Yes �❑ No
7. Are credit card payments acceptable? ❑Yes ❑■ No
Precision Micrographics & Imaging, Inc.
Company Name
,?� � - � �1
�� �A.. �J ��^
� ,Ct'r'l 'l'� I t."
Signature of Authorized Comp y Official
R. W. Gerstenberg
Printed Name
Page 17 of 65
Proposal Forms COMM/SVCS v.01.12.2018
CFW Cooperative Purchase Agreement Page 15 of 47
� Board �
Cooperative Pu�chasing
12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 • buyboard.com
LOCATION/AUTHORIZED SELLER LISTINGS
If you have more than one location/authorized seller that will service a contract awarded under this Proposal Invitation,
please list each location/authorized seller befow. If additional sheets are required, please duplicate this form as necessary.
NOTE: Awarded Vendors shall remain responsible for all aspects of the Contract, induding processing of Purchase Orders,
and shall be responsible for the perFormance of all locations and authorized sellers under and in accordance with the
Contract. If you are a product manufacturer and wish to designate Designated Dealers as defined in the General Terms
and Conditions to receive Cooperative member Purchase Orders on your behalf, you must complete the Manufacturer
Designated Dealer form.
Precision Micrographics & Imaging, Inc.
Company Name
8204 North Lamar Blvd., Suite C-20
Address
Austin Texas 78753
City State Zip
(512)893-8930 (512)832-5301
Phone Number Fax Number
Barry Gerstenbe
Contact Person
Company Name
Address
City
Phone Number
Contact Person
State Zip
Fax Number
Page 18 of 65
CFW Cooperative Purchase Agreement Proposal Forms COMM/ age 16 of 4718
P
� Board�
Canperative Purchasing
12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 • buvboard.com
MANUFACTURER DEALER DESIGNATION
If Vendor is a manufacturer that sells products through a dealer network and wishes to designate a dealer or multiple
dealers ("Designated Dealers") to receive Cooperative member Purchase Orders on Vendor's behalf, you must complete
this form for each dealer you wish to designate.
Regardless of any Designated Dealers submitted by Vendor, Vendor specifically agrees and acknowledges that any such
designations are for Vendor's convenience only and shall not, if Vendor is awarded a Contract, relieve Vendor of any
obligations under the Contract, including payment of Cooperative service fees on all Purchase Orders submitted to Vendor
or any Designated Dealer. In accordance with the General Terms and Conditions, an awarded Vendor shall remain
responsible and liable for all of its obligations under the Contract and the performance of both Vendor and any of Vendor's
Designated Dealers under and in accordance with the Contract and remain subject to all remedies for default thereunder,
including, but not limited to suspension and termination of Vendor's Contract for nonpayment of service fees.
If awarded, Vendor authorizes the Cooperative, in its sole discretion, to list any Vendor Designated Dealers in the BuyBoard
system and to receive Purchase Orders directly from Cooperative members on behalf of Vendor. To the extent a Vendor
with Designated Dealers receives a Purchase Order directly, it shall be the responsibility of Vendor to appropriately process
such Purchase Order in accordance with the Contract, including but not limited to timely forwarding such Purchase Order to
a Designated Dealer for processing.
The Cooperative reserves the right, in its sole discretion, to refuse addition of, or request removal of, any Designated
Dealer, and Vendor agrees to immediately require such Designated Dealer to cease accepting Purchase Orders or otherwise
acting on Vendor's behalf under the Contract. Further, the Cooperative's administrator shall be authorized to remove or
suspend any or all Designated Dealers from the BuyBoard at any time in its sole discretion.
If you wish to designate a dealer to service a contract awarded under this Proposal Invitation, please list the Designated
Dealer below and have this form signed by an official of your company authorized to make such designation. If you wish
to designate multiple dealers, please duplicate this form as necessary.
None
Designated Dealer Name
Designated Dealer Address
City
Phone Number
Email address
Designated Dealer Contact Person
�E?C��'1 / � >1 " " 7 � (j��
Your Company N e
State
Fax Number
Zip
Designated Dealer Tax ID Number* (*attach W-9)
i
�� �
Signature of Authorized Company Official
Page 19 of 65
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CFW Cooperative Purchase Agreement age 17 of 47
� Board�
Conperative Purchasing
12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 • buvboard.com
TEXAS REGIONAL SERVICE DESIGNATION
The Cooperative (referred to as "Texas Cooperative" in this form and in the State Service Designation form) offers vendors
the opportunity to service its members throughout the entire State of Texas. If you do not plan to service all Texas
Cooperative members statewide, you must indicate the specific regions you will service on this form. If you p�opose to
se�ve d/fferent regions for dJfferent products or servlces /ncluded /n you� proposa/, you must complete and
subm/t a separate Texas Reglona/ Servlce Des/gnat/on form for each group of products and c%a�/y /nd/cate
the products or serv/ces to wh/ch the desJgnat/on applles /n the space prov/ded at the end of th/s fo�m. By
deslgnating a �egfon or �eglons, you a�e ce�t/fyJng that you a�e autho�/zed and w!//ing to p�ovlde the
proposed products and servlces /n those reg/ons. Des/gnatJng reg/ons In wh/ch you are e/ther unab/e o�
unwl/ling to prov/de the spedfled products and servlces shall be grounds for e/ther �ejectJon of your
p�oposa/ o�, !f awarded, term/nat/on of you� Cont�act. Additionally, if you do not plan to service Texas Cooperative
members (i.e., if you will service only states other than Texas), you must so indicate on this form.
Regional Education Service Centers
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Precision Micrographics & Imaging, Inc.
Company Name
,� �i � 1��/ f
�✓I ��!�..IE'.�c/�'%t lt'�Z�
Signature of Authorized Company Official
R. W. Gerstenberg
Printed Name
� I will service Texas
Cooperative members
statewide.
�. I will not service Texas
Cooperative members
statewide. I will only
service members in the
regions checked below:
❑
a
❑
❑
❑
0
❑
❑
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a
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1
2
4
5
6
7
8
9
10
11
12
13
14
15
16
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19
20
Headauarters
Edinburg
Corpus Christi
Victoria
Houston
Beaumont
Huntsville
Kilgore
Mount Pleasant
Wichita Falls
Richards�n
Fort Worth
Waco
Austin
Abilene
San Angelo
Amarillo
Lubbock
Midland
EI Paso
San Antonio
❑ I will not service members
of the Texas Cooperative.
Page 20 of 65
Proposal Forms COM CS 1, 018
CFW Cooperative Purchase Agreement age ��0��43
� Board�
Cooperative Purchasing
12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 • buyboard.com
If this Texas Regional Service Designation form applies to only one or some of the products and services proposed by
Vendor, list the products and services to which this form applies here:
Page 21 of 65
Proposal Forms COMM/SVCS v.01.12.2018
CFW Cooperative Purchase Agreement Page 19 of 47
� Board�
Cnoperative Purchasing
12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 • buvboard.com
STATE SERVICE DESIGNATION
The Cooperative ofFers vendors the opportunity to service other governmental entities in the United States, including
intergovernmental purchasing cooperatives such as the National Purchasing Cooperative BuyBoard. You must complete
this form if you plan to service the entire United States, or will service only the specific states indicated. (Note: If you plan
to service Texas Cooperative membe�s, be su�e that you complete the Texas Regional Service Designation form.)
If you serve d/ffe�ent states for d/fferent products or se�v/ces !nc/uded /n your p�oposa/, you must complete
and subm/t a separate State Se�v/ce Des/gnat/on form for each g�oup of p�oducts and c%a�ly /nd/cate the
products or se�v/ces to whlch the deslgnat/on app/les /n the space provlded at the end of th/s fo�m. By
designating a state or states, you are ce�tlfy/ng that you are author/zed and wl//Ing to p�ov/de the p�oposed
products and se�vlces /n those states. Des/gnat/ng states In whlch you are e/the� unab/e or unwl//Ing to
prov/de the speclf/ed products and serv/ces sha// be grounds fo� e/ther �ejectlon of your proposal or, If
awa�ded, te�m/nat/on of you� Contract.
Please check (,�[) all that applv:
❑ I will service all states in the United States.
❑■ I will not service all states in the United States. I will service only the states checked below:
Alabama
Alaska
Arizona
Arkansas
California (Public Contract Code 20118 & 20652)
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
❑ Nebraska
❑ Nevada
❑ New Hampshire
❑ New Jersey
❑ New Mexico
❑ New York
❑ North Carolina
❑ North Dakota
❑ Ohio
❑ Oklahoma
❑ Oregon
❑ Pennsylvania
❑ Rhode Island
❑ South Carolina
❑ South Dakota
❑ Tennessee
❑■ Texas
❑ Utah
❑ Vermont
❑ Virginia
❑ Washington
❑ West Virginia
❑ Wisconsin
❑ Wyoming
Page 22 of 65
Proposal Forms COMM/SVCS v.01.12.2018
CFW Cooperative Purchase Agreement Page 20 of 47
� Board�
Cooperative Purchasing
12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 • buvboard.com
This form will be used to ensure that you can service other governmental entities throughout the United States as
indicated. Your signature below confirms that you understand your service commitments during the term of a
contract awarded under this proposal.
Precision Micrographics & Imaging, Inc.
��; � t
�, Company Name
� �i���- � ����� ��� l' R. W. Gerstenberg
Signature of Authorized Company Official Printed Name
If this State Service Designation form applies to only one or some of the products and services proposed by Vendor,
list the products and services to which this form applies here:
Page 23 of 65
Proposal Forms COMM/SVCS v.01.12.2018
CFW Cooperative Purchase Agreement Page 21 of 47
� Board�
Cooperative Purchasing
12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 • buyboard.com
NATIONAL PURCHASING COOPERATNE VENDOR AWARD AGREEMENT
In accordance with the Terms and Conditions associated with this Proposal Invitation, a contract awarded under this
Proposal Invitation may be "piggy-backed" by another governmental entity. The National Purchasing Cooperative is an
intergovernmental purchasing cooperative formed by certain school districts outside of Texas to serve its members
throughout the United States. If you agree to be considered for a piggy-back award by the National Purchasing
Cooperative, you agree to the following terms and agree to serve National Purchasing Cooperative members in the states
you have indicated on the State Service Designation form, in your Proposal.
By signing this form, Proposer (referred to in this Agreement as "Vendor") agrees as follows:
1. Vendor acknowledges that if The Local Government Purchasing Cooperative ("Texas Cooperative'� awards Vendor a
contract under this Proposal Invitation ("Underlying Award"), the National Purchasing Cooperative (��National Cooperative")
may - but is not required to -"piggy-back" on or re-award all or a portion of that Underlying Award ("Piggy-Back Award").
By signing this National Cooperative Vendor Award Agreement ("AgreemenY�, Vendor accepts and agrees to be bound by
any such Piggy-Back Award as provided for herein.
2. In the event National Cooperative awards Vendor a Piggy-Back Award, the National Cooperative Administrator
("BuyBoard Administrator") will notify Vendor in writing of such Piggy-Back Award, which award shall commence on the
efFective date stated in the Notice and end on the expiration date of the Underlying Award, subject to annual renewals as
authorized in writing by the BuyBoard Administrator. Vendor agrees that no further signature or other action is required of
Vendor in order for the Piggy-Back Award and this Agreement to be binding upon Vendor. Vendor further agrees that no
interlineations or changes to this Agreement by Vendor will be binding on National Cooperative, unless such changes are
agreed to by its BuyBoard Administrator in writing.
3. Vendor agrees that it shall offer its goods and services to National Cooperative members at the same unit pricing and
same general terms and conditions, subject to applicable state laws in the state of purchase, as required by the Underlying
Award. However, nothing in this Agreement prevents Vendor from offering National Cooperative members better (i.e.,
lower) competitive pricing and more favorable terms and conditions than those in the Underlying Award.
4. Vendor hereby agrees and confirms that it will serve those states it has designated on the State Service Designation
Form of this Proposal Invitation. Any changes to the states designated on the State Service Designation Form must be
approved in writing by the BuyBoard Administrator.
5. Vendor agrees to pay National Cooperative the service fee provided for in the Underlying Award based on the amount of
purchases generated from National Cooperative members through the Piggy-Back Award. Vendor shall remit payment to
National Cooperative on such schedule as it specifles (which shall not be more often than monthly). Further, upon
request, Vendor shall provide National Cooperative with copies of all purchase orders generated from National Cooperative
members for purposes of reviewing and verifying purchase activity. Vendor further agrees that National Cooperative shall
have the right, upon reasonable written notice, to review Vendor's records pertaining to purchases made by National
Cooperative members in order to verify the accuracy of service fees.
6. Vendor agrees that the Underlying Award, including its General Terms and Conditions, are adopted by reference to the
fullest extent such provisions can reasonably apply to the post-proposal/contract award phase. The rights and
responsibilities that would ordinarily inure to the Texas Cooperative pursuant to the Underlying Award shall inure to
National Cooperative; and, conversely, the rights and responsibilities that would ordinarily inure to Vendor in the Underlying
Award shall inure to Vendor in this Agreement. Vendor recognizes and agrees that Vendor and National Cooperative are the
only parties to this Agreement, and that nothing in this Agreement has application to other third parties, including the
Texas Cooperative. In the event of conflict between this Agreement and the terms of the Underlying Award, the terms of
this Agreement shall control, and then only to the extent necessary to reconcile the conflict.
Proposal Forms COMM/SVCS v.01.12.2018
Page 24 of 65
CFW Cooperative Purchase Agreement Page 22 of 47
� Board�
Conperative Purchasing
12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 • buyboard.com
7. This Agreement shall be governed and construed in accordance with the laws of the State of Rhode Island and venue
for any dispute shall lie in the federal district court of Alexandria, Virginia.
8. Vendor acknowledges and agrees that the award of a Piggy-Back Award is within the sole discretion of National
Cooperative, and that this Agreement does not take effect unless and until National Cooperative awards Vendor a Piggy-
Back Award and the BuyBoard Administrator notifies Vendor in writing of such Piggy-Back Award as provided for herein.
WHEREFORE, by signing below Vendor agrees to the foregoing and warrants that it has the authority to enter into this
Agreement.
Precision Micrographics & Imaging, Inc.
Name of Vendor
t� u/.,, �? .. ,��'�(s�
:��' c.�, �-�!f�
Signature of Authorized Comp ny Official
5-7-2018
Date
579-19
Proposal Invitation Number
R. W. Gerstenberg
Printed Name of Authorized Company Official
Page 25 of 65
CFW Cooperative Purchase Agreement
Proposal Forms COMM/SVCS v.01.12.2018
Page 23 of 47
� Board�
Cooperative Purchasing
12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 • buvboard.com
FEDERAL AND SYATE/ PURCHASING COOPERATNE EXPERIENCE
The Cooperative strives to provide its members with the best services and products at the best prices available from
vendors with the technical resources and ability to serve Cooperative members. Please respond to the following questions.
1. Provide the dollar value of sales to or through purchasing cooperatives at or based on an established catalog or
market price during the previous 12-month period or the last fiscal year: $ o .(The period of the 12
month period is / ). In the event that a dollar value is not an appropriate measure of the sales,
provide and describe your own measure of the sales of the item(s).
2. By submitting a proposal, you agree that, based on your written discounting policies, the discounts you offer the
Cooperative are equal to or better than the best price you offer other purchasing cooperatives for the same items
under equivalent circumstances.
3. Provide the information requested below for other purchasing cooperatives for which Proposer currently serves, or in
the past has served, as an awarded vendor. Rows should be added to accommodate as many purchasing
cooperatives as required.
•� ��• �� �
��• • ��
�• r�• �•
1. Federal General Services Administration N N
2. T-PASS (State of Texas) N N
3. U.S. Communities Purchasing Alliance N N
4. National IPA/TCPN N N
5. Houston-Galveston Area Council (Hc�ac) N N
6. National Joint Powers Alliance (N]PA) N N
7. E&I Cooperative N N
8. The Interlocal Purchasing System (TIPS) N N
9. Other N N
❑� MY COMPANY DOES NOT CURRENTLY HAVE ANY OF THE ABOVE OR SIMILAR TYPE CONTRACTS.
CURRENT BUYBOARD VENDORS
If you are a current BuyBoard vendor in the same contract category as proposed in this Proposal Invitation, indicate the
discount for your current BuyBoard contract and the proposed discount in this Proposal. Explain any difference between
your current and proposed discounts.
Current Discount (%): � Proposed Discount (%): 0
Explanation:
Proposal Forms COMM/SVCS v.01.12.2016
Page 26 of 65
CFW Cooperative Purchase Agreement Page 24 of 47
� Board�
Cnoperative Purchasing
12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 � buvboard.com
By signature below, I certify that the above is true, complete and accurate and that I am authorized by my company to
make this certification.
Precision Micrographics & Imaging, Inc.
; /` '
Company Name
� y j�`,,� ,�';;�� -f��-�f R. W. Gerstenberg
Signature of Authorized Compa Official Printed Name
Page 27 of 65
Proposal Forms COMM/SVCS v.01.12.2018
CFW Cooperative Purchase Agreement Page 25 of 47
� Board �
CaoperatJve Purchasing
12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 ' buyboard.com
GOVERNMENTAL REFERENCES
For your Proposal to be considered, you must supply a minimum of five (5) individual governmental entity references. The
Cooperative may contact any and all references provided as part of the Proposal evaluation. Provide the information
requested below, including the existing price/discounts you ofFer each customer. The Cooperative may determine whether
prices/discounts are fair and reasonable by comparing prices/discounts stated in your Proposal with the prices/discounts
you offer other governmental customers. Attach additional pages if necessary.
Quantity/
Entity Name Contact Phone# Email Address Discount Volume
Texas Board of Nursing Keith LaSalle 512-305-6857 keith.lasalle@bon.texas.gov contracted prices $100,000/yr
Z Travis Counry Clerk Shawn Malone 512-854-7627 shawn.malone@traviscountytx.gov contracted prices $20,000lyr
San Marcos CISD Monica Weaver 512-393-6947 monica.weaver@smcisd.net contracted prices $20,000/yr
4 Midway ISD Rachel Cady 254-761-5600 ext. 2028 rachel.cady@midwayisd.org contracted prices $4,OOO/yr
5 UT Perry Castaneda Library Kristin Walker 512-495-4133 kristin.walker@austin.utexas.edu contracted prices $30,000
Do you ever modify your written policies or standard governmental sales practices as identified in the above chart to give
better discounts (lower prices) than indicated? YES ❑ NO ■� If YES, please explain:
By signature below, I certify that the above is true and correct and that I am authorized by my company to make this
certification.
Precision Micrographics � Imaging, Inc.
Company Name
Signature of Authorized Company 0 cial
R.W. Gerstenberg
Printed Name
Page 28 of 65
Proposal Forms COMM/SVCS v.01.12.2018
CFW Cooperative Purchase Agreement Page 26 of 47
� Board�
Cooperative Purchasing
12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 • buyboard.com
MARKETING STRATEGY
For your Proposal to be considered, you must submit the Marketing Strategy you will use if the Cooperative accepts all or
part of your Proposal. (ExamQle: Exp/ain how your company wil/ initially info�m Cooperative members of your BuyBoard
contract, and how you wil/ continue to support the BuyBoard for fhe duration of the contract pe�iocJ.)
Attach additional pages if necessary.
See Attached pages for Marketing Strategy and brochures.
Precision Micrographics & Imaging, Inc.
Company Name
,n ; r
t. -�-
v�� �//�./> .�;j�e'�f lt t.
Signature of Authorized Com ny Official
R. W. Gerstenberg
Printed Name
Proposa� Forms COMM/SVCS v.01.12.2018
Page 29 of 65
CFW Cooperative Purchase Agreement Page 27 of 47
Marketin� Strate�y
Precision's Marketing Strategy includes a wide number of verbal and
printed approaches. When we receive contact information for Cooperative
members, we would initiate introductory phone calls informing them of our
BuyBoard contract. We find that initiating these phone calls are more
productive than mailings. We would ask their permission either to send
brochures for our imaging services and for products for which we are dealers,
or to set up an appointment for a Precision representative to meet them in
person, or both.
We pledge to support the BuyBoard with as many of our usual
approaches as might be appropriate: offering a frequently updated Web design
(precisionmicrographics.net), circulating our speci�c brochures and business
cards (samples are attached), staffing attractively appointed booths at frequent
trade shows followed by follow-up phone calls with potential clients, soliciting
recommendation by satisfied clients, and advertising in specific Austin
publications (for example, Texas Lone Star Magazine).
We have harvested and closed some leads and deals from Facebook and
Linked-In.
CFW Cooperative Purchase Agreement Page 28 of 47
� Board�
Cooperative Purchasing
12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 • buyboard.com
CONFIDENTIAL/PROPRIETARY INFORMATION
A. Public Disclosure Laws
All Proposals, forms, documentation, or other materials submitted by Vendor to the Cooperative in response to this
Proposal Invitation, including catalogs and pricelists, may be subject to the disclosure requirements of the Texas Public
Information Act (Texas Government Code chapter 552.001, et, seq.) or similar disclosure law. Proposer must clearly
identify on this form any information in its Proposal (including forms, documentation, or other materials submitted with the
Proposal) that Proposer considers proprietary or confidential. If Proposer fails to properly identify the information, the
Cooperative shall have no obligation to notify Vendor or seek protection of such information from public disclosure should a
member of the public or other third party request access to the information under the Texas Public Information Act or
similar disclosure law. Proposer will be notified of any third party request for information in a Proposal that Proposer has
identified in this form as proprietary or confidential.
Does your Proposal (including forms, documentation, or other materials submitted with the Proposal) contain information
which Vendor considers proprietary or confidential?
Please check (�l one of the followina:
❑■ NO, I certify that none of the information included with this Proposal is considered confidential or proprietary.
� YES, I certify that this Proposal contains information considered confidential or proprietary and all such information is
specifically identified on this form.
If you responded "YES", you must identify below the specific information you consider confidential or proprietary. List each
page number, form number, or other information sufficient to make the information readily identifiable. The Cooperative
and its Administrator will not be responsible for a Proposer's failure to clearly identify information considered confidential or
proprietary. Further, by submitting a Proposal, Proposer acknowledges that the Cooperative and its Administrator will
disclose information when required by law, even if such information has been identified herein as information the vendor
considers confidential or proprietary.
Confidential / Proprietary Information:
(Attach additional sheets if needed.)
Page 30 of 65
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CFW Cooperative Purchase Agreement Page 29 of 47
� Board�
Cooperative Purchasing
12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 • buyboard.com
B. Coovri4ht Information
Does your Proposal (including forms, documentation, or other materials submitted with the Proposal) contain copyright
information?
Please check (d) one of the following:
� NO, Proposal (including forms, documentation, or other materials submitted with the Proposal) does not
contain copyright information.
❑ YES, Proposal (including forms, documentation, or other materials submitted with the Proposal) does
contain copyright information.
If you responded "YES", identify below the specific documents or pages containing copyright information.
Copyright Information:
(Attach additional sheets if needed. J
C. Consent to Release Confidential/Proarietary/Coavriaht Information to BuvBoard Members
BuyBoard members (Cooperative and nonprofit members) seeking to make purchases through the BuyBoard may wish to
view information included in the Proposals of awarded Vendors. If you identified information on this form as confidential,
proprietary, or subject to copyright, and you are awarded a BuyBoard contract, your acceptance of the BuyBoard contract
award constitutes your consent to the disclosure of such information to BuyBoard members, including posting of such
information on the secure BuyBoard website for members. Note: Neither the Cooperative nor its Administrator will be
responsible for the use or distribution of information by BuyBoard members or any other party.
D. Consent to Release Prouosal Tabulation
Notwithstanding anything in this Confidential/Proprietary Information form to the contrary, by submitting a Proposal,
Vendor consents and agrees that, upon Contract award, the Cooperative may publically release, including posting on the
public BuyBoard website, a copy of the proposal tabulation for the Contract including Vendor name; proposed
catalog/pricelist name(s); proposed percentage discount(s), hourly labor rate(s), or other specified pricing; and Vendor
award or non-award information.
By signature below, I certify that the information in this form is true, complete, and accurate and that I am authorized by
my company to make this certification and all consents and agreements contained herein.
Precision Micrographics & Imaging, Inc.
Company Name
���r?�i ,c� ,
VI %I/��i' [�/,�'�� �t"r!�
Signature of Authorized Comp y Official
R. W. Gerstenberg
Printed Name
5-10-2018
Date
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� Board�
Cooperative Purchasing
12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 • buvboard.com
VENDOR BUSINESS NAME
By submitting a Proposal, Proposer is seeking to enter into a legal contract with the Cooperative. As such, a Proposer must
be an individual or legal business entity capable of entering into a binding contract. Proposers, must completely and
accurately provide the information requested below or your Proposal may be deemed non-responsive.
Name of Proposing Company: f" � "' � ` ".
(List the leoa/ name of the mmpany seeking to rnntrad with the Coope�adv Do T list an assumed na e, dba a, etc. here. S[xh informadon may
be p�ovided be%w. If you are submitting a joint proposal with another entity to provide the same p�oposed gaods or services, each submitting entity
should comp/ete a separate vendo� information form. Separately operating legal business entities, even if aHiliated entities, which propose to provide
goods or servicrs sepa�ate/y must submit their own Proposals )
Please check (� one of the following:
Tvne of Business:
Individual/Sole Proprietor
Corporation X
Limited Liability Company
Partnership
Other If other, identify
State of Incorporation (if applicabte): TeXaS
Federal Employer ldentification Number: 742936274
(I/endor must include a completed IRS W-Q form with their proposal)
List the Name(s) by which Vendor, if awarded, wishes to be identified on the BuyBoard: (Note: If difFerent tiran the Name of
Proposing Company listed above, only valid trade names (dba, aka, etc.) of the Proposing Company may be used and a mpy of }rou� A�wmed Name
Certihcate(s), if applicab/e, must be attached.)
��
Page 32 of 65
CFW Cooperative Purchase Agreement
Proposal Forms COMM/SVCS v.01.12.2018
Page 31 of 47
Form ���
tr�e,�. � 20> > �
De�arcmz�+ or Lhe Trces:xy
Imernal Reverxie Service
Reques# for Taxpayer I Give Form to tne
requester. Do not
tdentificat�on Number and Certi�icatian send to the IRS.
N
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oa
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Number
Requester's name and address (optiona�
Enter your TIN in the appropriate box. The TIN provided must match the name given on the "Name" line
to avoid backup withholding. For individuals, this is your social security number (SSNj. However, for a
resident alien, sole proprietor, or disregarded enttty, see the Part I instructions on page 3. For other
entities, it is your ernployer identification number (EIN). If you do not have a numbar, see How to get a
T1N on page 3.
Nate. lf the account is in more than one name, see the chart on page 4 for guidelines on whose
number to enter.
Social security number
� —�
Employer idaMificatlon
74 -2 93
Under penalties of perjury, i certiry mat:
1. The number shown on this form is my comect taxpayer identification number (or I am waiting for a number to be issued to me), and
Exempt payee
2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Intemal Revenue
Servica (IRS) that I am subje� to backup withholding as a result of a faflure to report all interest or dividends, or (c) the IRS has notified me that I am
no longer subject to backup withholding, and
3. I am e U.S. cit¢en or other U.S. person (defined below).
Certification instrvctions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding
because you have failed to report all interest and dividends on your tax retum. For real estate transactions, item 2 does not apply. For mortgage
interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement QRA), and
generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the
instructions on page 4.
Si9n Slgnawro ot /� /�,l' ///� �t )
�i@f@ U.S. pereon ► . , �p�G � w / Q 1/l�� Date ► c/� / �.J � "/l f� / �
General Instructions - - �
Section references are to the Intemal Revenue Code unless otherwise
noted.
Purpose of Form
A person who is required to frle an information retum with the IRS must
obtain your correct taxpayer identificatiar num.`,er (TIN� to report, for
example, income paid to you, real estate Vansactions, mortgage interest
you paid, acquisition or abandonment of secured property, cancellation
of debt, or contributions you made to an IRA.
Use Form W-9 only if you are a U.S. person (incfuding a resident
alien), to provide your correct TiN to the person requesting It (the
requester) and, when applicable, to:
5. Certify that the T(N you ara giving is correc: �cr you �; e��t•� :;�g for ;.
number to be issued),
Certify that you are not subject to backup vrithholding, cr
3. Claim exemption from backup withholding if you are a U.S. exempt
payee. If applicable, you are also certifying that as a U.S. person, your
allocable share of any p2rtnership income from 2 U 8 trade or busine�s
Note. If requester gives you a form other than Forrt� lN-8 tc reqwst
yo ou must use the requester's form if it is substantially simflar
to this Fortn W-9.
Definition of a U.S. person. For federal tax purposes, you are
considered a U.S. person if you are:
• An individual who is a U.S. citizen or U.S. resident alien,
• A partnership, corporation, company, or association created or
organized in the United States or under the laws of the United States,
• An estate (other than a foreign estate), or
• A domestic trust (as defined in Regulations section 301.7701-�.
Special rules for partnerships. Parfnerships Lhat conduct a trade or
business in the Unit2d States are generally required to pay a withholding
;ax on any foreign partners' share of income from such business.
Further. in certain cases where a rorm W-9 has not been received. a
partnership is required to presume that a partner is a toreign person,
and pay the withholding tax. Therefore, rf you are a U.S. p=rson that is a
partner in a partnership conducting a trade or business in the United
States, provide Form W-9 to the partnership to establish your U.S.
st2tus and avoid withholding on your share of paRnership income.
is not subject to the withholding tax on toreign pariners' share of y
e.ffectivelv connected income.
Cst. �Jo. �C231X Form i�1�-J (F?ev. 12-2011)
Name (as shown on your income tax retum)
Precision Micrographics. In
Business name/disregarded errtky name, ii ditterent from ;
Precision Micro�raphics and
Check appropriate box for federat tex Gassification:
❑ Ind'nridueUsoie proprietor ❑ C Corporation � S Corporation ❑ Partnership ❑ Tr�sVesiate
� Limited liability comperry. Enter the tax clessificetion (C�C corporat�n, S=S corporation, P=partnership) ►.
Other Isee instructionsJ ►
�ss (number, street, and apt, w suite rw.)
8204 N. Lamar Blvd. Suite C-20
�, stete, and 21P code
List eccount n�nber(s) here (oPtional)
CFW Cooperative Purchase Agreement Page 32 of 47
� Board�
Cooperative Purchasing
12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 • buyboard.com
EDGAR VENDOR CERTIFICATION
(2 CFR Part 200 and Appendix II)
When a Cooperative member seeks to procure goods and services using funds under a federal grant or contract, specific
federal laws, regulations, and requirements may apply in addition to those under state law. This includes, but is not limited
to, the procurement standards of the Uniform Administrative Requirements, Cost Principles and Audit Requirements for
Federal Awards, 2 CFR 200 (sometimes referred to as the "Uniform Guidance" or new "EDGAR'�. All Vendors submitting
proposals must complete this EDGAR Certification Form regarding Vendor's willingness and abiliry to comply with certain
requirements which may be applicable to specific Cooperative member purchases using federal grant funds. This
completed form will be made available to Cooperative members for their use while considering their purchasing options
when using federal grant funds. Cooperative members may also require Vendors to enter into ancillary agreements, in
addition to the BuyBoard contracYs general terms and conditions, to address the member's specific contractual needs,
including contract requirements for a procurement using federal grants or contracts.
For each of the Items be%w, Vendo� shou/d certJfy Vendor's agreement and ab///ty to comp/y, where
app/icab/e, by hav/ng Vendo�'s authorJzed rep�esentat/ve comp/ete and /n/tla/ the app//cable boxes and s/gn
the acknowledgment at the end of th/s form. If you fa// to comp/ete any Item /n th/s form, the Cooperat>ve
wJl/ conslde� and may /!st the Vendo�'s response on the BuyBoard as "NO,'the Vendor /s unable or unwll/Ing
to comp/y, A"NO" response to any of the items may, if applicable, impact the ability of a Cooperative member to
purchase from the Vendor using federal funds.
1. Vendor Violation or Breach of Contract Terms:
Contracts for more than the simplified acquisition threshold currently set at $150,000, which is the inflation adjusted
amount determined by the Civilian Agency Acquisition Council and the Defense Acquisition Regulations Council (Councils)
as authorized by 41 USC 1908, must address administrative, contractual, or legal remedies in instances where contractors
violate or breach contract terms, and provide for such sanctions and penalties as appropriate.
Provisions regarding Vendor default are included in the BuyBoard General Terms and Conditions, including Section E.18,
Remedies for Default and Termination of Contract. Any Contract award will be subject to such BuyBoard General Terms
and Conditions, as well as any additional terms and conditions in any Purchase Order, Cooperative member ancillary
contract, or Member Construction Contract agreed upon by Vendor and the Cooperative member which must be consistent
with and protect the Cooperative member at least to the same extent as the BuyBoard Terms and Conditions.
The remedies under the Contract are in addition to any other remedies that may be available under law or in equity. By
submitting a Proposal, you agree to these Vendor violation and breach of contract terms.
2. Termination for Cause or Convenience:
For any Cooperative member purchase or contract in excess of $10,000 made using federal funds, you agree that the
following term and condition shall apply:
The Cooperative member may terminate o� cancel any purchase order under this Contract at any time, with or without
cause, by p�o�idrng seven (7) business days advance wiitten notice to the �endor. If this Agreement is terminated in
accordance with this Paragraph, the Coope�ative membe� shall only be required to pay �endo� for goods or ser�ices
delivered to the Cooperative member prior to the termination and not othenvise returned in accordance with �endor's
return policy. If the Cooperative member has paid �endor for goods or services not yet pro✓ided as of the date of
termination, �endor shall immediate/y refund such payment(sJ.
If an alternate provision for termination of a Cooperative member purchase for cause and convenience, including the
manner by which it will be effected and the basis for settlement, is included in the Cooperative member's purchase order,
ancillary agreement, or Member Construction Contract agreed to by the Vendor, the Cooperative member's provision shall
control.
Proposal Forms COMM/SVCS v.01.12.2018
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CFW Cooperative Purchase Agreement Page 33 of 47
� Board�
Cooperative Purchasing
12007 Research Boulevard ' Austin, Texas 78759-2439 • PH: 800-695-2919 ' buyboard.com
3. Equal Employment Opportunity:
Except as otherwise provided under 41 CFR Part 60, all Cooperative member purchases or contracts that meet the
definition of "federally assisted construction contract" in 41 CFR Part 60-1.3 shall be deemed to include the equal
opportunity clause provided under 41 CFR 60-1.4(b), in accordance with Executive Order 11246, "Equal Employment
Opportunity" (30 FR 12319, 12935, 3 CFR Part, 1964-1965 Comp., p. 339), as amended by Executive Order 11375,
"Amending Executive Order 11246 Relating to Equal Employment Opportunity," and implementing regulations at 41 CFR
Part 60, "Office of Federal Contract Compliance Programs, Equal Employment Opportunity, Department of Labor."
The equal opportunity clause provided under 41 CFR 60-1.4(b) is hereby incorporated by reference. Vendor agrees that
such provision applies to any Cooperative member purchase or contract that meets the definition of "federally assisted
construction contract" in 41 CFR Part 60-1.3 and Vendor agrees that it shall comply with such provision.
4. Davis-Bacon Act:
When required by Federal program legislation, Vendor agrees that, for all Cooperative member prime construction
contracts/purchases in excess of $2,000, Vendor shall comply with the Davis-Bacon Act (40 USC 3141-3144, and 3146-
3148) as supplemented by Department of Labor regulations (29 CFR Part 5, "Labor Standards Provisions Applicable to
Contracts Covering Federally Financed and Assisted Construction"). In accordance with the statute, Vendor is required to
pay wages to laborers and mechanics at a rate not less than the prevailing wages specified in a wage determinate made by
the Secretary of Labor. In addition, Vendor shall pay wages not less than once a week.
Current prevailing wage determinations issued by the Department of Labor are available at wdol.gov. Vendor agrees that,
for any purchase to which this requirement applies, the award of the purchase to the Vendor is conditioned upon Vendor's
acceptance of the wage determination.
Vendor further agrees that it shall also comply with the Copeland "Anti-Kickback" Act (40 USC 3145), as supplemented by
Department of Labor regulations (29 CFR Part 3, "Contractors and Subcontractors on Public Building or Public Work
Financed in Whole or in Part by Loans or Grants from the United States"). The Act provides that each contractor or
subrecipient must be prohibited from inducing, by any means, any person employed in the construction, completion, or
repair of public work, to give up any part of the compensation to which he or she is otherwise entitled.
5. Contract Work Hours and Safety Standards Act:
Where applicable, for all Cooperative member contracts or purchases in excess of $100,000 that involve the employment of
mechanics or laborers, Vendor agrees to comply with 40 USC 3702 and 3704, as supplemented by Department of Labor
regulations (29 CFR Part 5). Under 40 USC 3702 of the Act, Vendor is required to compute the wages of every mechanic
and laborer on the basis of a standard work week of 40 hours. Work in excess of the standard work week is permissible
provided that the worker is compensated at a rate of not less than one and a half times the basic rate of pay for all hours
worked in excess of 40 hours in the work week. The requirements of 40 USC 3704 are applicable to construction work and
provide that no laborer or mechanic must be required to work in surroundings or under working conditions which are
unsanitary, hazardous or dangerous. These requirements do not apply to the purchases of supplies or materials or articles
ordinarily available on the open market, or contracts for transportation or transmission of intelligence.
6. Right to Inventions Made Under a Contract or Agreement:
If the Cooperative member's Federal award meets the definition of "funding agreement" under 37 CFR 401.2(a) and the
recipient or subrecipient wishes to enter into a contract with a small business firm or nonprofit organization regarding the
substitution of parties, assignment or performance or experimental, developmental, or research work under that "funding
agreement," the recipient or subrecipient must comply with the requirements of 37 CFR Part 401, "Rights to Inventions
Made by Nonprofit Organizations and Small Business Firms Under Government Grants, Contracts and Cooperative
Agreements," and any implementing regulations issued by the awarding agency.
Vendor agrees to comply with the above requirements when applicable.
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� Board�
Cooperative Purchasing
12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 • buyboard.com
7. Clean Air Act and Federal Water Pollution Control Act:
Clean Air Act (42 USC 7401-7671q.) and the Federal Water Pollution Control Act (33 USC 1251-1387), as amended —
Contracts and subgrants of amounts in excess of $150,000 must contain a provision that requires the non-Federal award to
agree to comply with all applicable standards, orders, or regulations issued pursuant to the Clean Air Act (42 USC 7401-
7671q.) and the Federal Water Pollution Control Act, as amended (33 USC 1251-1387). Violations must be reported to the
Federal awarding agency and the Regional Office of the Environmental Protection Agency (EPA).
When required, Vendor agrees to comply with all applicable standards, orders, or regulations issued pursuant to the Clean
Air Act and the Federal Water Pollution Control Act.
8. Debarment and Suspension:
Debarment and Suspension (Executive Orders 12549 and 12689) — A contract award (see 2 CFR 180.220) must not be
made to parties listed on the government-wide exclusions in the System for Award Management (SAM), in accordance with
the OMB guidelines at 2 CFR 180 that implement Executive Orders 12549 (3 CFR Part 1966 Comp. p. 189) and 12689 (3
CFR Part 1989 Comp. p. 235), "Debarment and Suspension." SAM Exclusions contains the names of parties debarred,
suspended, or otherwise excluded by agencies, as well as parties declared ineligible under statutory or regulatory authority
other than Executive Order 12549.
Vendor certifies that Vendor is not currently listed on the government-wide exclusions in SAM, is not debarred, suspended,
or otherwise excluded by agencies or declared ineligible under statutory or regulatory authoriry other than Executive Order
12549. Vendor further agrees to immediately notify the Cooperative and all Cooperative members with pending purchases
or seeking to purchase from Vendor if Vendor is later listed on the government-wide exclusions in SAM, or is debarred,
suspended, or otherwise excluded by agencies or declared ineligible under statutory or regulatory authority other than
Executive Order 12549.
9. Byrd Anti-Lobbying Amendment:
Byrd Anti-Lobbying Amendment (31 USC 1352) -- Vendors that apply or bid for an award exceeding $100,000 must file the
required certification. Each tier certifies to the tier above that it will not and has not used Federal appropriated funds to
pay any person or organization for influencing or attempting to influence an officer or employee of any agency, a member
of Congress, officer or employee of Congress, or an employee of a member of Congress in connection with obtaining any
Federal contract, grant or any other award covered by 31 USC 1352. Each tier must also disclose any lobbying with non-
Federal funds that takes place in connection with obtaining any Federal award. Such disclosures are forwarded from tier to
tier up to the non-Federal award. As applicable, Vendor agrees to file all certifications and disclosures required by, and
otherwise comply with, the Byrd Anti-Lobbying Amendment (31 USC 1352).
10. Procurement of Recovered Materials:
For Cooperative member purchases utilizing Federal funds, Vendor agrees to comply with Section 6002 of the Solid Waste
Disposal Act, as amended by the Resource Conservation and Recovery Act where applicable and provide such information
and certifications as a Cooperative member may require to confirm estimates and otherwise comply. The requirements of
Section 6002 include procuring only items designated in guidelines of the Environmental Protection Agency (EPA) at 40 CFR
Part 247 that contain the highest percentage of recovered materials practicable, consistent with maintaining a satisfactory
level of competition, where the purchase price of the item exceeds $10,000 or the value of the quantity acquired during the
preceding fiscal year exceeded $10,000; procuring solid waste management services in a manner that maximizes energy
and resource recovery, and establishing an affirmative procurement program for procurement of recovered materials
identified in the EPA guidelines.
11. Proft as a Separate Element of Price:
For purchases using federal funds in excess of $150,000, a Cooperative member may be required to negotiate profit as a
separate element of the price. See, 2 CFR 200.323(b). When required by a Cooperative member, Vendor agrees to
provide information and negotiate with the Cooperative member regarding profit as a separate element of the price for a
particular purchase. However, Vendor agrees that the total price, including profit, charged by Vendor to the Cooperative
member shall not exceed the awarded pricing, including any applicable discount, under Vendor's Cooperative Contract.
Proposal Forms COMM/SVCS v.01.12.2018
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CFW Cooperative Purchase Agreement Page 35 of 47
� Board�
Cooperative Purchasinq
12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 ' buvboard.com
12. General Compliance and Cooperation with Cooperative Members:
In addition to the foregoing specific requirements, Vendor agrees, in accepting any Purchase Order from a Cooperative
member, it shall make a good faith effort to work with Cooperative members to provide such information and to satisfy
such requirements as may apply to a particular Cooperative member purchase or purchases including, but not limited to,
applicable recordkeeping and record retention requirements.
Vendor Certification:
YES, I agree or
Vendor Certification Item No. NO, I do NOT a ree Initial
1. Vendor Violation or Breach of Contract Terms YES RG
2. Termination for Cause or Convenience YES RG
3. Equal Employment Opportunity YES RG
4. �avis-Bacon Act YES RG
5. Contract Work Hours and Safety Standards Act YES RG
6. Right to Inventions Made Under a Contract or Agreement YES RG
7. Clean Air Ad and Federal Water Pollution Control Act YES RG
8. Debarment and Suspension YES RG
9. Byrd Anti-Lobbying Amendment YES RG
10. Procurement of Recovered Materials YES RG
11. Profit as a Separate Element of Price YES RG
12. General Compliance and Cooperation with Cooperative Members YES RG
By signature below, I certify that the information in this form is true, complete, and accurate and that I am authorized by
my company to make this certification and all consents and agreements contained herein.
Precision Micrographics & Imaging, Inc.
Company Name
t/ 1 / /'l/ %`'�LF' .i al,�[ .r'l !'c - 2 [�
Signature of Authorized Comp.�ny Official
R. W. Gerstenberg
Printed Name
Page 36 of 65
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CFW Cooperative Purchase Agreement Page 36 of 47
� Board�
Cooperative Purchasing
12007 Research Boulevard � Austin, Texas 78759-2439 • PH: 800-695-2919 • buyboard.com
PROPOSAL INVITATION QUESTIONNAIRE
The Cooperative will use your responses to the questions below in evaluating your Proposal and technical and financial
resources to provide the goods and perform the services ('�Work") under the BuyBoard contract contemplated by this
Proposal Invitation ("ContracY'). Proposers must fully answer each question, numbering your responses to correspond to
the questions/numbers below. Proposers must complete below or attach your responses to this questionnaire, sign where
indicated below, and submit the signed questionnaire and your responses to all questions in one document with your
Proposal. You must submit the signed questionnaire and responses with your Proposal or the Proposal will
not be considered.
1. List the number of years Proposer has been in business and former business names (if applicable). Note whether your
company is currently for sale or involved in any transaction that would significantly alter its business or result in
acquisition by another entity.
See Attached.
2. Describe the resources Proposer has to manage staff and successfully perform the Work contemplated under this
Contract. State the number and summarize the experience of company personnel who may be utilized for the Work,
including those who will be available to Cooperative members for assistance with project development, technical issues,
and product selection for Work associated with this Contract.
See Attached
3. Describe Proposer's financial capability to perform the Contract. State or describe the firm's financial strength and
rating, bonding capacity, and insurance coverage limits. State whether the firm, or any of the firm's past or present
owners, principal shareholders or stockholders, or officers, have been a debtor party to a bankruptcy, receivership, or
insolvency proceeding in the last 7 years, and identify any such debtor party by name and relationship to or position
with your firm.
See Attached
Page 37 of 65
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CFW Cooperative Purchase Agreement Page 37 of 47
BUYBOARD Proposal Invitation Questionnaire
Question 1:
Precision Micrographics & Imaging, Inc. has been in business for 31 years, founded and
owned by Bob and Peggy Gerstenberg as a private corporation in Austin, Texas. We provide a
full range of document conversion services as well as marketing equipment in support of quality
and secure completion of these services. We are official dealerships for Eastman Park products
(formerly Kodak). We are now marketing ST Viewscan, Digitech, and Nexscan products. Our
company is neither currently for sale, nor involved in any transaction which would significantly
alter our business or result in acquisition.
Our business has evolved from microfilm services in the beginning, to adding computer
output micro�lm, to a concentration on digital imaging of documents since 2002. In 1992 we
founded Centex COM, Inc., to produce computer output microfilm (COM). For twenty years we
held the COM contract with the State of Texas, and provided COM services for several large
financial and private institutions. This part of our offerings was discontinued within the last few
years as technology changed.
Through the purchase of a local well-established imaging company almost twenty years
ago, Precision has rounded out its capacity to offer a wide range of twenty-first century digital
product while retaining the ability to convert microfilm to digital and vice-versa.
Question 2:
To manage staff and successfully perform the Work contemplated under the proposed
contract, Precision offers managerial, imaginative sales and production staff, and equipment to
complete our services. Company personnel which would be involved include three sales
representatives with experience in providing complimentary systems analysis to Cooperative
members ( listening to client needs and proposing alternatives which might meet them). Six staff
members with fifteen years or more of experience with Precision stand ready to prepare
documents, complete digital document scanning or microfilming, provide indexing and other
specified treatment including optical character recognition, and document conversion to desired
deliverables, most often including CSV with PDF or TIFF. We deliver from a variety of formats
commonly DVD or CD or external drives, and offer conversion of archival material. We provide
such diverse offerings as bar coding, retrieval software, and transportation. Three or more
management personnel make sure all timelines are met in accordance with the specific contract,
assure that billing/invoices are accurate and sent to clients as stated in contract, deal with clients
on matters related to production and billing, as well as maintain involvement in sale/service of
equipment and supplies and the pricing of micro/imaging projects.
Question 3.
Precision carries full insurance and exemplary financial strength, details of which are
available after contract is awarded. Our Dun and Bradstreet number is 148498033. Naturally, as
a private corporation, we do not have stockholders. None of our owners or officers have ever been
a debtor party to a bankruptcy, a receivership or any insolvency proceeding.
CFW Cooperative Purchase Agreement Page 38 of 47
� Board�
Cooperative Purchasing
12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 ' buyboard.com
4. Does your company have any outstanding financial judgments and/or is it currentiy in default on any loan or financing
agreement? If so, provide detailed information on the nature of such items and prospects for resolution.
NONE
5. List all contracts, if any, in the last 10 years on which Proposer has defaulted, failed to complete or deliver the work, or
that have been terminated for any reason. For each such contract, provide the project name, scope, value and date
and the name of the procuring entity. Fully explain the circumstances of the default, failure to complete or deliver the
work, or termination.
NONE
6. List all litigation or other legal proceedings (including arbitration proceedings), if any, in the last 10 years brought
against your firm, or any of the firm's past or present owners, principal shareholders or stockholders, officers, agents or
employees, that relates to or arises from a contract similar to this Contract or the work contemplated under this
Contract. Provide the style of the lawsuit or proceeding (name of parties and court or tribunal in which filed), nature of
the claim, and resolution or current status.
NONE
By signature below, I certify that the information contained in and/or attached to this Proposal Invitation
Questionnaire in response to the above questions is true and correct and that I am authorized by my
company to make this certification.
Precision Micrographics & Imaging; ��e,
Company Name
� ,� „ � i a
; �r_' � r.
/, -/,���. � �:,Jl
Signature of Authorized Compan Official
Page 38 of 65
Proposal Forms COMM/SVCS v.01.12.2018
CFW Cooperative Purchase Agreement Page 39 of 47
� Board�
Caoperative Purchasing
12007 Research Boulevard • Austin, Texas 78759-2439 • PH: 800-695-2919 • buyboard.com
REOUIRED FORMS CHECKLIST
(Please check (d) the folbwing)
� Completed: Proposer's Agreement and Signature
L'J
�
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�
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Completed: Vendor Contact Information
Completed: Felony Conviction Disclosure and Debarment Certification
Com�leted: Resident/Nonresident Certification
Completed: No Israel Boycott Certification
Completed: No Excluded Nation or Foreign Terrorist Organization Certification
Completed: Historically Underutilized Business (HUB) Certification)
Completed: Construction Related Goods and Services A�rmation
Completed: Deviation/Compliance
Completed: Location/Authorized Seller Listings
Completed: Man�facturer Dealer Designation
Completed: Texas Regional Service Designation
Completed: State Service Designation
Completed: National Purchasing Cooperative Vendor Award Agreement
Completed: Federal and State/Purchasing Cooperative Experience
Completed: Governmental References
Completed: Marketing Strategy
� Comoleted: Confidential/Proprietary Information
� Completed: Vendor Business Name with IRS Form W-9
lvJ Completed: EDGAR Vendor Certification
� Completed: Proposal Invitation Questionnaire
� Completed: Required Forms Checklist
(� Completed: Proposal Specification Form with Catalogs/Pricelists
*Catalogs,�Pricelists mustbe submitted wiih proposa/tesponse or response w!ll�ot be rnnsldered,
Page 39 of 65
Proposal Forms COMM/SVCS v.01.12.2016
CFW Cooperative Purchase Agreement Page 40 of 47
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�C�1#!�L[CT C�F 1�'�1TEREST QUESTIOhIt�A1RE
F�r v�rtrivr dninc� busin�ss witf� loeai goverrimer�tal �ntity
This q[�es#ianrta[re refi�cts chartges made to the taw by H.B. 23, 84th i.e�, ReguEar Session.
• E i I � ���
OFFtCE USE QNLY
1't�is qv�sti�nn�ire is i�eing filed in accordanee with Chapter � 76, Lcsc�l G�rvemrr�ent Code, �te Rece;,,�d
by a�re�r�ia�rwho has a busin�,ss relaiionship as defined by Sectio� 17�.i3{�1 �t -a) +�rith a lc�c�l
gtsvernmentaE ent�iy �nd #he vendar rneets res�uiremenls und�r Secti�n �76.t}06(a}.
By law this questianr�air� r��st be filedwith ihe ret:�rtis admini�tratar ofithe Eocal gc�ve�rnmentai
entity rtcst later than the 7#� busin�ss day after ti�e da#e the vendor becorrtes aware of faet�
that require the staternent tc� be filed. See Sectian t�6.{306{a-1 }, Locai Government Gode.
A uend�r corrtmits an offense ii the �endc�r knt�wingly violates Section 176.4{l6, Loc�l
Go�remment Gode.An flffense un�ier t�iis seeticsn is a misdero�eanor.
Name o! vendorwh� has a business r�i��onship z�i€� tocal governanental entiry.
Precision Micrographics & Imaging, Inc.
y+�u �re ft(l�g an u�date t�a a
{The law �equires that you #�ie an updated campieted ques€ionnaire wath the appropriaEe liling authority not
later than t}te ?fh tausiness day aiter th� date nn wt�ch yo�i became aware ti�at the originall� #iled questionnaire was
incc�rnp€ete or inaccurate.}
Name oi Eocal c�overnment offtcer �bout�r,rham the Inforn�ation 1n Ct��s s��tiar� t� be�rro� dlsclosed.
None
Narne af C3fficer
This secti4n {item 3 including subparts A, B, C, 8 D) must be compl�ted for �ach officer with wficsm the r�endor has an
empfc,yment ar other bus�ness relationship as defined by Sect9on �7�.t301(1-aj, Lr�ai �overnment Cade. Attach additionai
pa�es to this Forrr� CIQ as necessary.
A. �s the local governrr�ent offcer named in dhis sectian t�eceiWie�g or t'skely to rece�ue ta7caEale incortte, ath�r than in�restrneni
inc�me. from the vendor?
o��� o�a
S. 1s the vendo� recenring or fikety t� rece9v� t�able income, oiher than investmeni ineome, fram oe at ihe direciian vf tit� {ocat
governmen# officer named in thfs secti4n ANC� the ta�cable irtcome is not rece�iwed #rom aE�e lflcal �averri�rtentai eni'rtty?
� Yes � IVo
C. ls the ii[er c�f this c�€�estionnaire �mplaye�l by � corporat�on ar c�ther busine�ss eniity with respec� #ff wfiich ihe loc�[
govemment officer serves a� an o€fice+r or �ie�ecior, 4r #�atds xn awnecship interesk of on� peresnt ar mare?
aYes �Na
[?. L7escribe each emptciyyrr�eni or business and family relakionship vviifi� the lnca! �avemme� affieer namer! in ihis sect6on.
of
the �avernmeniaE eardity
�
A�&t�pted 8,+712U15
CFW Cooperative Purchase Agreement Page 47 of 47